Client Partner - Claims Adjudication Job in Access Healthcare Services Pvt Ltd.

Review and scrutinize claims and process claims into the computer system as per the provided Desk Level Procedures (DLPs) /guidelines

Determine accurate claims payment or denial, identify and address dubious claims or system issues to process the claim accurately

Process claims in a timely manner, as per the required TAT

Correct errors or omissions on claim and investigate questionable data

To maintain quality as per the SLA

To maintain productivity as per the SLA

Continuously meet and exceed the assigned targets

Performance should be maintained in accordance with the process performance parameters

To maintain confidentiality of work done

To follow all regulatory requirements and procedures as per the company policy

Display high levels of professionalism in the work delivered and overall conducts

Experience in delivering claims adjudications services for 1-2 years.

Fresh graduates will be considered as well.

Good Typing skills (Min 25 WPM)

Good typing Accuracy (Min 90%)

Proficiency in MS Office

Good analytical/aptitude skills

Good English Knowledge verbal and written (should able to understand the DLPs written in English, should able to understand claim notes and should able to provide the appropriate note(s) while processing claim).

Education - Graduate (Any Stream)